person
Dr. Mark Dale Nellermoe, DPM
Foot & Ankle Surgery Podiatrist in University Place, Washington
NPI 1386733541

Mark Dale Nellermoe is a Foot & Ankle Surgery Podiatrist based in University Place, WA and is specialized in Foot & Ankle Surgery. Mark Dale Nellermoe practices in University Place, WA and has the professional credentials of DPM. The NPI Number for Mark Dale Nellermoe is 1386733541 and holds a License No. PO00000507 (Washington).

The current practice location address for Mark Dale Nellermoe is 3929 Bridgeport Way W Ste 308, University Place, WA and can be reached out via phone at 253-627-4181 and via fax at 253-272-5922.

Location: 3929 Bridgeport Way W Ste 308, University Place, WA, 98466-4455
person
Provider Profile Details
NPI Number
1386733541
Provider Name
Mark Dale Nellermoe
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
3929 Bridgeport Way W Ste 308, University Place, WA, 98466-4455
Phone Number
253-627-4181
Fax Number
253-272-5922
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
GAB02027 01 WA MEDICARE ID
1102375 05 WA
990007694 01 WA RAILROAD MEDICARE ID
0039635 01 WA DEPARTMENT OF LABOR & IND
1386733541 01 WA NPI #
institution
Provider Business Practice Location Address Details
Address
3929 Bridgeport Way W Ste 308
City
State
Zip
98466-4455
Phone Number
253-627-4181
Fax Number
253-272-5922
person
Provider Business Mailing Address Details
Address
3929 Bridgeport Way W Ste 308
City
State
Zip
98466-4455
Phone Number
253-627-4181
Fax Number
253-272-5922
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
PO00000507 (Washington)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.